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Review Article



A Review on Primary versus Secondary Closure Techniques for Prevention of Post-Operative Complications after Third Molar Surgery

Jones Jayabalan, M.R. Muthusekhar.




Abstract

The aim of our review is to evaluate the consequence of primary and secondary closure techniques for preventing complications following surgical removal of third molar as there is lack of review articles on which closure techniques are effective in reducing complications in patients undergoing third molar surgery.The literature was searched from the year of 1960 to 2017 studies in order to understand the effect of these closure techniques in third molar surgery in earlier to latest. The Data Bases of PubMed, Cochrane and Google scholar were searched for similar topics along with a complimentary manual search of all oral surgery journals.Among the articles collected relevant to our topic we noticed that majority of the authors revealed the secondary closure is effective one than the primary closure for complications preventions post-operatively in third molar surgery.Many of the surgeries in the third molar are done without more severe complications. Anyhow, there may be some severe complications to the patient such as swelling, dysphagia, alveolar osteitis, infection, periodontal pocketing postoperative pain, trismus, bleeding, nerve injury, and delayed healing. Generally, they are considered as short-term consequences of the surgery in the third molar; at the same time, they are supposed to cause damage to job disruption and quality of life. Tissue damage and inflammatory response are rare but serious complications associated with a number of dental procedures. In context to the closure techniques affecting the patientÂ’s day to day activities postoperatively the review findings show the secondary closure techniques have less post-operative pain complications among patients reporting for surgical removal of impacted third molar.

Key words: Closure techniques, Surgical Complications, Wisdom tooth Surgery, Wisdom tooth, Dental pain.






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